Provider Demographics
NPI:1821246901
Name:BROWNLOW, STEVEN GAINES (PHD, LPC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:GAINES
Last Name:BROWNLOW
Suffix:
Gender:M
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 GREEN GRV
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78633-4373
Mailing Address - Country:US
Mailing Address - Phone:512-635-1390
Mailing Address - Fax:512-863-8075
Practice Address - Street 1:127 GREEN GRV
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78633-4373
Practice Address - Country:US
Practice Address - Phone:512-635-1390
Practice Address - Fax:512-863-8075
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2012-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13599101YP2500X
TX34588103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX121949505Medicaid